Bespoke Psychiatry Clt, Pllc

LBN: Bespoke Psychiatry Clt, Pllc
Bespoke Psychiatry Clt, Pllc is an health care organization with primary practice located at 1905 J N Pease Pl Ste 202 , Charlotte NC 28262-4539. The organization recently has only one registered license in Ambulatory Health Care Facilities / Adult Mental Health, which is considered as the primary health care specialty. Bespoke Psychiatry Clt, Pllc can be contacted via phone (980) 429-4597, or through Peacock, Marquis via phone (980) 429-4597.

Contact Information

Primary practice address
1905 J N Pease Pl Ste 202 Charlotte NC 28262-4539
Phone: (980) 429-4597
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Peacock, Marquis Doctor of Medicine (MD)
Phone: (980) 429-4597

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Adult Mental Health 261QM0850X

Profile Details

NPI number 1730964750
LBN Legal business name Bespoke Psychiatry Clt, Pllc
DBA Doing business as
Authorized official Peacock, Marquis Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 28th, 2023
Last updated Sep 3rd, 2023 - about last year

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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